Provider Demographics
NPI:1225210818
Name:REGIONAL ANESTHESIA LLC
Entity Type:Organization
Organization Name:REGIONAL ANESTHESIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:LUSCO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:225-978-0527
Mailing Address - Street 1:1856 S COLUMBINE ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-5227
Mailing Address - Country:US
Mailing Address - Phone:225-978-5027
Mailing Address - Fax:843-357-4940
Practice Address - Street 1:4950 ESSEN LN STE 300
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3432
Practice Address - Country:US
Practice Address - Phone:225-214-6688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty